Long-Term Mental Health Findings and Concerns After Potential Exposure to Petroleum in Drinking Water on Joint Base Pearl Harbor-Hickam, November 20, 2021-February 24, 2023.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Katharine E Saunders, Lilanthi Balasuriya, David Carranza, Nicholas V Titelbaum, Daniel D Nguyen, Cristin E McArdle, Amy Fothergill, Izraelle I McKinnon, Jack Pfeiffer, T Christy Hallett, Asha S Choudhury, Maureen F Orr, Stacey L Konkle
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引用次数: 0

Abstract

Objective: An estimated 93,000 persons were potentially exposed to drinking water contaminated with petroleum jet propellant (JP)-5 fuel after a November 20, 2021, leak at the Red Hill Bulk Fuel Storage Facility on Oahu, Hawaii. Previous investigations identified the need to evaluate long-term mental health effects associated with JP-5 exposure.

Methods: We identified adults potentially exposed to jet fuel-contaminated water during November 20, 2021-March 18, 2022, who sought care within the military health system through February 24, 2023. We abstracted a sample of electronic medical records and categorized documented mental health conditions and symptoms as "worsening preexisting" or "persistent new." We also assessed mental health-related medication use before and after November 20, 2021.

Results: We abstracted medical charts for 411 adults potentially exposed to jet fuel-contaminated water. Of this cohort, 123 (29.9%) had documented worsening preexisting mental health conditions or symptoms, 86 (20.9%) had persistent new mental health conditions or symptoms, and 109 (26.5%) had at least one mental health-related medication prescribed after the exposure event.

Conclusions: These results highlight mental health needs during and after water contamination events. Continued access to mental health care services and monitoring for long-term mental health effects is recommended.

2021年11月20日至2023年2月24日,珍珠港-希卡姆联合基地饮用水中潜在石油暴露后的长期心理健康调查结果和担忧。
目的:在2021年11月20日夏威夷瓦胡岛红山散装燃料储存设施发生泄漏后,估计有93,000人可能接触到被石油喷射推进剂(JP)-5燃料污染的饮用水。先前的调查确定有必要评估与JP-5暴露相关的长期精神健康影响。方法:我们确定了在2021年11月20日至2022年3月18日期间可能暴露于喷气燃料污染的水的成年人,他们在2023年2月24日之前在军队卫生系统寻求治疗。我们提取了一份电子医疗记录样本,并将记录的精神健康状况和症状分类为“既往存在的恶化”或“持续新出现”。我们还评估了2021年11月20日前后与精神健康相关的药物使用情况。结果:提取了411例可能暴露于航空燃油污染水体的成人病历。在该队列中,123人(29.9%)先前存在的精神健康状况或症状恶化,86人(20.9%)持续出现新的精神健康状况或症状,109人(26.5%)在暴露事件后至少服用了一种与精神健康相关的药物。结论:这些结果突出了水污染事件期间和之后的心理健康需求。建议继续提供精神保健服务,并监测精神健康的长期影响。
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来源期刊
Disaster Medicine and Public Health Preparedness
Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
7.40%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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